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Search › Florida › 104100000X

Patricia Van Vaerenbergh

NPI 1568885341 · on the registry since 2014 · sole proprietor

Practice

Address
12512 Bruce B Downs Blvd
Tampa, FL 33612
Phone
(813) 644-6364
Fax
(813) 972-3886
Organisation at this address
Genoa Healthcare Llc
Northside Mental Health
Northside Mental Health Center
Northside Mental Health Center
Northside Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
95

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida